<script>
@sajax_js@

function test(soluong, proid){
	alert (soluong.value + '-'+proid);
}

function do_soluong_cb(z) {
	//document.getElementById("ketqua").value = z;	
}

function do_soluong(x, id) {

	x_soluong(x.value, id, do_soluong_cb);
}
</script>

<form action="viewcart_send.php?langid=@langid@" name="main" method="post"><table width="95%" border="0" align="center" cellpadding="2" cellspacing="0"><tr> <td height="50" valign="top"><div align="justify">Would you please check again and <SPAN class=webmaster> fill in fields to assist us in making and confirming your order . (*) = Required field.</SPAN></div></td></tr><tr> <td>@list_products@</td></tr><tr>
  <td align="center" class="text" id="adv_title" style="word-wrap: break-word; color: #F00000"><!--nut_muatiep--></td>
</tr><tr> <td valign="top"><table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="95%" id="AutoNumber11"><center><tr class="text"> <td width="17%" height="23" align="right" valign="top"> <p align="right">Full Name</td><td height="23" align="center" valign="top"> <p align="center"><strong>:</strong></p></td><td width="80%" height="23" valign="top"> <p align="left"> <strong> <input size="45" name="cif_hoten" class="input" style="width:450px">(*)</strong></p></td></tr>
	  
	              <tr class="text"> 
              <td height="25" align="right" valign="top"> <p align="right">Company</p></td>
              <td height="25" align="center" valign="top"> <p align="center"><strong>:</strong></p></td>
              <td width="80%" height="25" valign="top"> <p align="left"> <strong> 
                  <input size="45" name="cif_donvi" class="input" style="width:450px">
                  </strong></p></td>
            </tr>
	  
	  
	  <tr class="text"> <td height="23" align="right" valign="top"> <p align="right">Address</td><td height="23" align="center" valign="top"> <p align="center"><strong>:</strong></p></td><td width="80%" height="23" valign="top"> <p align="left"> <strong> <textarea name="cif_diachi" cols="45" rows="3" class="input" style="FONT-FAMILY: arial;width:450px"></textarea>(*) </strong></p></td></tr><tr class="text"> <td height="23" align="right" valign="top"> <p align="right">Tel</td><td width="5" height="23" align="center" valign="top"> <p align="center"><strong>:</strong></p></td><td width="80%" height="23" valign="top"> <p align="left"> <strong> <input size="45" name="cif_dienthoai" class="input" style="width:450px"></strong></p></td></tr><tr class="text"> <td height="23" align="right" valign="top">Mobile</td><td height="23" align="center" valign="top"><strong>:</strong></td>
<td height="23" align="left" valign="top"><strong> <input size="45" name="cif_didong" class="input" style="width:450px"></strong></td></tr><tr class="text"> <td height="23" align="right" valign="top"> <p align="right">Fax</p></td><td width="5" height="23" align="center" valign="top"> <p align="center"><strong>:</strong></p></td><td width="80%" height="23" valign="top"> <p align="left"> <strong> <input size="45" name="cif_fax" class="input" style="width:450px">&nbsp;</strong></p></td></tr><tr class="text"> <td height="23" align="right" valign="top"> <p align="right">E-mail </td><td width="5" height="23" align="center" valign="top"> <p align="center"><strong>:</strong></p></td><td width="80%" height="23" valign="top"> <p align="left"> <strong> <input size="45" name="cif_email" class="input" style="width:450px">(*)</strong></p></td></tr><tr class="text"> <td align="right" valign="top"> <p align="right" class="body">Content</td><td width="5" align="center" valign="top"> <p align="center"><strong>:</strong></p></td><td width="80%" valign="top"> <p align="left"> <textarea style="FONT-FAMILY: arial;width:450px" name="cif_noidung" rows="5" cols="45" class="forminput" ></textarea><strong>(*)<br></strong></p></td></tr><!-- ======== Check Form ========  --><script language="JavaScript">            function check_valid(){		if (main.cif_hoten.value == "") {alert("Please input your full name !");main.cif_hoten.focus();return false;}if (main.cif_diachi.value == "") {alert("Please input your address !");main.cif_diachi.focus();return false;}	if (main.cif_email.value == "" || main.cif_email.value.indexOf('@',1)== -1 || main.cif_email.value.indexOf('.',2)==-1){alert("Please input your E-mail !");main.cif_email.focus();return false;}if (main.cif_noidung.value == "") {alert("Please input your comment !");main.cif_noidung.focus();return false;}return true;} </script><!-- =============== End Check Form =============== --><tr valign="top" class="text"> <td align="right"> <p align="right"> </td><td width="5" height="23" align="center"> <p align="center">&nbsp;</p></td><td width="80%" height="23"> <p align="left"> <strong> <input type="submit" value="Send" name="B1" language=javascript onClick="return check_valid()" class="input">&nbsp; <input type="reset" value="Reset" name="B2" class="input"></strong></td></tr></center><tr class="body"> <td align="right" colspan="3">&nbsp;</td></tr></table></td></tr></table></form>
